MICHAEL J FORTIN (Credential# 995396) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
MICHAEL J FORTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009134. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 184 Romanock Rd, Fairfield, CT 06825-7234. The current status is active.
| Licensee Name | MICHAEL J FORTIN |
| Credential ID | 995396 |
| Credential Number | 14.009134 |
| Credential Type | Physical Therapist |
| Business Address |
184 Romanock Rd Fairfield CT 06825-7234 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-07-07 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 845123 | 70.005390 | Emergency Medical Technician | 2004-09-28 | 2010-04-08 - 2012-12-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Fortin | 25 Mohawk St, Middletown, CT 06457-3534 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael J Fortin | 51 Kent Stre, Danielson, CT 06239 | Hairdresser/cosmetician | 2020-01-01 ~ 2021-12-31 |
| Street Address | 184 ROMANOCK RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-7234 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sabia Building LLC | 160 Romanock Rd, Fairfield, CT 06825-7234 | Home Improvement Contractor | 2020-06-15 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clarissa L Mejia | 85 Fortin Dr, Brooklyn, CT 06234-3803 | Physical Therapist | 2018-09-01 ~ 2019-08-31 |
| Carol D Fortin | 920 E Center St, Wallingford, CT 06492 | Physical Therapist | 2017-04-01 ~ 2018-03-31 |
| Lauren C Fortin | 4 Tanglewood Dr, Canton, CT 06019-2024 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Jennifer Crystal Cyr | 140 Fortin Drive, Minot, ME 04258 | Physical Therapist | 2008-11-17 ~ 2010-01-31 |
| Kathleen S Fortin | 2 Hemlock Cir, Stafford Springs, CT 06076-4328 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| William R Fortin · Wn Fortin Restoration Inc | 760 Totoket Road, Northford, CT 06472 | Home Improvement Contractor | 1995-10-04 ~ 1996-11-30 |
| Christian Fortin · C.r. Fortin Remodelers | 22 Texas Dr, Oakdale, CT 06370 | Home Improvement Contractor | ~ 1995-09-01 |
| Rachel M Fortin | 23 Fortin Drive, Brooklyn, CT 06234 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daniel Fortin · Fortin Painting | 3 Hermance Rd Apt B, Pleasant Valley, CT 06063-3316 | Home Improvement Contractor | 2019-03-18 ~ 2019-11-30 |
| Robert A Fortin · Fortin Flooring Company | 920 E Center St, Wallingford, CT 06492 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Please comment or provide details below to improve the information on MICHAEL J FORTIN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).